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1164876694
BRIAN AHLO
BETHEL, AK
NPI
1164876694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2016-04-21
Last Update Date
2018-12-26
Business Address
BRIAN AHLO
381 4TH AVENUE
BETHEL, AK 99559-0528
Phone number: 907-543-2242
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Mailing Address
BRIAN AHLO
PO BOX 3227
BETHEL, AK 99559-3227
Phone number: 907-543-2242
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